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Successful Treatment of Airplane Headache with Rizatriptan: Case Report

Optimal management of airplane headache (AH) is still unresolved. A female, 53 years, complained of severe short-lasting jabbing pain attacks over the forehead and in the eyebrows, mainly on the left side, that occur during take-off and landing. Neurological, opthalmological, and otolaryngological e...

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Detalles Bibliográficos
Autores principales: Delva, Iryna, Delva, Mykhaylo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8255692/
https://www.ncbi.nlm.nih.gov/pubmed/34248572
http://dx.doi.org/10.1159/000515571
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author Delva, Iryna
Delva, Mykhaylo
author_facet Delva, Iryna
Delva, Mykhaylo
author_sort Delva, Iryna
collection PubMed
description Optimal management of airplane headache (AH) is still unresolved. A female, 53 years, complained of severe short-lasting jabbing pain attacks over the forehead and in the eyebrows, mainly on the left side, that occur during take-off and landing. Neurological, opthalmological, and otolaryngological examinations and brain MRI were normal. It was diagnosed as AH. The patient was recommended to take 10 mg rizatriptan 30 min before the flight. It resulted in a complete absence of headache during the take-off and significant decrease of pain intensity during the plane descending. Based on the flight duration (about 2.5 h) and rizatriptan pharmacokinetics, the patient was recommended to take a second dose of rizatriptan 10 mg 1 h before flight ending. The patient reported a complete absence of pain attacks during the next flights. The effectiveness of AH pain attack prevention is based on the pharmacokinetic properties of the drug, time of pain onset during flight, and the flight duration.
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spelling pubmed-82556922021-07-09 Successful Treatment of Airplane Headache with Rizatriptan: Case Report Delva, Iryna Delva, Mykhaylo Case Rep Neurol Single Case − Headache Optimal management of airplane headache (AH) is still unresolved. A female, 53 years, complained of severe short-lasting jabbing pain attacks over the forehead and in the eyebrows, mainly on the left side, that occur during take-off and landing. Neurological, opthalmological, and otolaryngological examinations and brain MRI were normal. It was diagnosed as AH. The patient was recommended to take 10 mg rizatriptan 30 min before the flight. It resulted in a complete absence of headache during the take-off and significant decrease of pain intensity during the plane descending. Based on the flight duration (about 2.5 h) and rizatriptan pharmacokinetics, the patient was recommended to take a second dose of rizatriptan 10 mg 1 h before flight ending. The patient reported a complete absence of pain attacks during the next flights. The effectiveness of AH pain attack prevention is based on the pharmacokinetic properties of the drug, time of pain onset during flight, and the flight duration. S. Karger AG 2021-06-14 /pmc/articles/PMC8255692/ /pubmed/34248572 http://dx.doi.org/10.1159/000515571 Text en Copyright © 2021 by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Single Case − Headache
Delva, Iryna
Delva, Mykhaylo
Successful Treatment of Airplane Headache with Rizatriptan: Case Report
title Successful Treatment of Airplane Headache with Rizatriptan: Case Report
title_full Successful Treatment of Airplane Headache with Rizatriptan: Case Report
title_fullStr Successful Treatment of Airplane Headache with Rizatriptan: Case Report
title_full_unstemmed Successful Treatment of Airplane Headache with Rizatriptan: Case Report
title_short Successful Treatment of Airplane Headache with Rizatriptan: Case Report
title_sort successful treatment of airplane headache with rizatriptan: case report
topic Single Case − Headache
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8255692/
https://www.ncbi.nlm.nih.gov/pubmed/34248572
http://dx.doi.org/10.1159/000515571
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